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Individual
MR. ROBERT BENJAMIN DAVIS
Active
Individual
MR. ROBERT BENJAMIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, FNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
0001133791
VA
363LF0000X
Family Nurse Practitioner
Primary
0024164923
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252429
—
VA
Enumeration date
10/04/2005
Last updated
04/03/2012
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